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Showing results for "how to do a case study".

301. Regret among primary care physicians: a survey of diagnostic decisions. | PSNet
     psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
     November 13, 2019 - patients (e.g., regular blood glucose tests may have prevented a stroke that likely occurred due to … Related Resources From the Same Author(s) Thresholds, rules and defensive strategies: how … January 19, 2022 Blackbox error management: how do practices deal with critical incidents … A qualitative interview study. … September 23, 2020 Signs and symptoms to determine if a patient presenting in primary

302. Hand hygiene compliance for patient safety. | PSNet
     psnet.ahrq.gov/issue/hand-hygiene-compliance-patient-safety
     October 19, 2022 - This commentary relates how hand hygiene compliance contributes to infection prevention and safe care … What can we do about it? … January 14, 2011 The Checklist Manifesto: How to Get Things Right. … January 4, 2019 Case study: preventing surgical complications at Baystate Medical Center … February 19, 2014 As she lay dying: how I fought to stop medical errors from killing

303. Sensemaking and the co-production of safety: a qualitative study of primary medical care patients. | PSNet
     psnet.ahrq.gov/issue/sensemaking-and-co-production-safety-qualitative-study-primary-medical-care-patients
     August 26, 2015 - EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to … March 4, 2020 Trust, temporality and systems: how do patients understand patient safety … A qualitative study. … theatre case study. … general practice: ethnographic case study.

304. Selection Criteria and Honorarium Information | PSNet
     psnet.ahrq.gov/Webmm/submit-case-info
     August 10, 2025 - How a case is selected How a case is selected … How do I get paid through PayPal? … 101 Primers Topics Glossary Training and Education Continuing Education WebM&M: Case … Studies Training Catalog Submit a WebM&M Case Submit a Training Improvement Resources … And if you do choose to submit as a logged-in user, your name will not be publicly associated with the

305. 025-Assessing-Evc-Webinar-Notes (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/025-assessing-evc-webinar-notes.docx
     October 01, 2024 - A defect is defined as anything that you do not want to have happen again. … How do we reduce the likelihood of this defect from happening again? 4. … How do we know the risk is reduced? … Slide 40 Case Example: How Do We Reduce the Likelihood of the Defect From Happening Again? … Slide 42 Case Example: How Do We Know the Risk Is Reduced?

306. Presentation: Program Overview
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/build-businesscase-slides.pptx
     January 01, 2017 - Ventilated Patients 1 Learning Objectives After this session, you will be able to— Describe how this … We Need To Do? … Build a business case to prepare for these questions. … Giving Statistics Local Meaning Example: If we reduce VAP by 50%, how many patients avoid VAP and how … Pitch How should you present this to your CFO?

307. Malpractice claims related to diagnostic errors in the hospital. | PSNet
     psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
     September 16, 2020 - Citation Text: Gupta A, Snyder A, Kachalia A, et al. … RIS Download Citation Related Resources From the Same Author(s) How … September 16, 2020 Mind the overlap: how system problems contribute to cognitive failure … October 11, 2023 Checklists to reduce diagnostic error: a systematic review of the literature … July 9, 2018 Do written disclosures of serious events increase risk of malpractice claims

308. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit-tool1.html
     March 01, 2014 - Summary References Appendix A. Case Studies Appendix B. Shared Appointments Appendix C. … What do I know about community resources that could be helpful?   … Does our practice need to do some kind of QI project for external resources (e.g., NCQA medical home … recognition) and how much flexibility do we have?   … On a scale of 1 to 10, how confident do I feel about my ability to take on a new project (even one intended

309. Systematic biases in group decision-making: implications for patient safety. | PSNet
     psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
     July 24, 2024 - These four concepts can serve as a theoretical framework for future empiric work to characterize and … RIS Download Citation Related Resources From the Same Author(s) How … July 24, 2024 Why do acute healthcare staff behave unprofessionally towards each other … and how can these behaviours be reduced? … addressing disruptive physician behavior: a composite case study.

310. Allergy to Holter | PSNet
     psnet.ahrq.gov/web-mm/allergy-holter
     May 01, 2008 - The Commentary Do your patients understand you? … Holter" case demonstrates how literate patients can have inadequate health literacy. … individuals will make errors, that errors will do harm, or both" ( 5 ) —appear to favor a recurrence … AHRQ's recommended 11 top patient safety practices based on strength of scientific evidence.( 19 ) So, how … case study.

311. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet
     psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
     September 11, 2013 - This article explains how interruptions affect cognition and how disruption may lead to errors. … patient internet portal to prevent adverse drug events: a randomized, controlled trial. … September 1, 2016 Do medical inpatients who report poor service quality experience more … case study. … July 1, 2017 New technology, new errors: how to prime an upgrade of an insulin infusion

312. Weaving a healthcare tapestry of safety and communication. | PSNet
     psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication
     September 29, 2017 - This commentary describes how a medical-surgical unit developed an initiative that combined nursing theory … , compassion, clinical nurse leadership, and crew resource management to bolster implementation of a … September 25, 2024 Organizational learning starting points and presuppositions: a case … study from a hospital’s surgical department. … November 19, 2014 (How) do we learn from errors?

313. Facilitator Guide: Auditing Your Briefings and Debriefings (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_audit_briefing_facnotes.docx
     December 01, 2017 - Slide 6 Developing a Briefing Audit Tool ASK: How do you think briefings and debriefings should happen … How are they actually happening? What can we do to close that gap? … That’s really how much data you want to collect How do you determine how much data to collect? … We have a lot of work to do on just the basics. … Slide 20 References Slide 21 Hospital Case Study Slide 22 Debriefing Form: One Team’s Approach

314. Auditing Your Briefings and Debriefings Process: Facilitator Notes | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/surgery/modules/implementation/audit-briefing-fac-notes.html
     December 01, 2017 - Slide 7: Developing a Briefing Audit Tool Ask: How do you think briefings and debriefings should … How are they actually happening? What can we do to close that gap? … That’s really how much data you want to collect How do you determine how much data to collect? … We have a lot of work to do on just the basics. … Slide 21: References   Slide 22: Hospital Case Study   Slide 23: Debriefing Form: One Team

315. Getting to the Root of the Matter | PSNet
     psnet.ahrq.gov/web-mm/getting-root-matter
     September 01, 2005 - How would you do it? What would you be likely to find? What solutions could be implemented? … We do have a small amount of additional information from this event available to us to review. … for septic shock do not recommend it for use as a first-line vasopressor, and, when used, recommend … the scope of this commentary but has been reviewed in a past WebM&M case.( 11 ) Although we do not know … September 27, 2023 How physicians think: a case-based diagnostic simulation exercise.

316. Specific Tools To Support Change (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g2_pdi_specifictoolstosupportchange.pdf
     January 01, 2011 - Study Buffalo Hospital Uses TeamSTEPPS® To Improve Pediatric Patient Safety This case study demonstrates … http://www.ahrq.gov/poli cymakers/case- studies/201504.html Institute for Healthcare Improvement … http://www.vppartners.org/sites/default/files/reports/full_rpt.pdf http://www.ahrq.gov/policymakers/case-studies … /201504.html http://www.ahrq.gov/policymakers/case-studies/201504.html http://www.ahrq.gov/policymakers … /case-studies/201504.html http://www.ihi.org/knowledge/Pages/Tools/CauseandEffectDiagram.aspx http://

317. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
     January 12, 2022 - Mini case studies are available to be customized to specialty areas. … How do we know? Formulate a vision for the initiative. … How do I integrate what I hear with what I already know to ask what else it can be? … Study: Joe Kane The case study is based on a real delayed-diagnosis experience. … Improving Care Delivery Through Lean: Implementation Case Studies.

318. Missed Nursing Care: A Key Measure for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
     March 01, 2018 - Nurses who have too many patients to care for do not have time to complete all necessary care, and this … How necessary steps in a task get omitted: revising old ideas to combat a persistent problem. … We decided to study hospital patient outcomes and make it our primary interest to analyze how much of … RW : So 10 years from now how is all of this going to look? … of equipment, but it's more difficult to do that with human resources.

319. Final Research Plan: Syphilis Infection During Pregnancy: Screening | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/syphilis-infection-pregnant-persons
     March 02, 2023 - To better understand the need for retesting during pregnancy, the USPSTF will review how frequently do … a neonate with congenital syphilis, or have a miscarriage or stillbirth attributed to syphilis? … Do these associations vary by populations of interest (demographic characteristics or risk factors)? … systematic reviews and meta-analyses (of included study designs) Narrative reviews, editorials, and case … reports Publication Language English Non-English studies Quality Good- or fair-quality

320. Final Research Plan: Syphilis Infection During Pregnancy: Screening | United States Preventive Services Taskforce
     www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/syphilis-infection-in-pregnancy-screening
     March 02, 2023 - To better understand the need for retesting during pregnancy, the USPSTF will review how frequently do … a neonate with congenital syphilis, or have a miscarriage or stillbirth attributed to syphilis? … Do these associations vary by populations of interest (demographic characteristics or risk factors)? … systematic reviews and meta-analyses (of included study designs) Narrative reviews, editorials, and case … reports Publication Language English Non-English studies Quality Good- or fair-quality